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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Ear Psoriasis With Flaking Be Treated?

I have Psoriasis in both of my ears really bad, some times my ears feel so weighted down, I know I shouldn't do this , but it's the only way I could figure out how to get the flakes out. But I used a tweezer to pull the flakes out. The past two day it has been so thick that I take the tweezer and get under the the the the dead skin and pull out a pile of flakes about the half size of a pea. But when doing this I notice that it feels like a long piece of smooth plastic under the skin it moves around and sometimes it feels like it's poking . Is this something to worry about and will it go back to where it should be?
Mon, 9 Mar 2015
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Dermatologist 's  Response
Hi,

As you said, you suffer from psoriasis. It is a chronic and relapsing skin disease. I can understand your anxiety for your disease. But,you have to keep patience. You might get relief slowly. And due to some factors it might relapse...Remember it is a controllable disease..You consult nearby dermatologist for firm diagnosis and perfect treatment.

I would like to suggest few things as follow....
- acitretin 25 mg daily
- methotraxate 15 mg weekly in three devided doses of 5 mg 12 hourly.
- Blood tests ..routine & LFT may be done at regular intervals
- Steroid with salicylic acid oint may be applied twice a day on the psoriatic lesions...on trunk and extremities
- But, please avoid the use of betnovate on psoriatic lesions on foreskin and soft tissue areas..as it is a moderately strong steroid. You may apply mild steroid cream like mometasone.
- Soap bath should be avoided.
- All precautions may be taken to avoid dryness of skin. Winter might worsen due to dry weather. So, take care.

After few months,you may be alright. But, maintenance therapy may be continued. And if there is relapse, you may restart the treatment.

Have patience...

Thanks.

Dr. Ilyas Patel MD
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How Can Ear Psoriasis With Flaking Be Treated?

Hi, As you said, you suffer from psoriasis. It is a chronic and relapsing skin disease. I can understand your anxiety for your disease. But,you have to keep patience. You might get relief slowly. And due to some factors it might relapse...Remember it is a controllable disease..You consult nearby dermatologist for firm diagnosis and perfect treatment. I would like to suggest few things as follow.... - acitretin 25 mg daily - methotraxate 15 mg weekly in three devided doses of 5 mg 12 hourly. - Blood tests ..routine & LFT may be done at regular intervals - Steroid with salicylic acid oint may be applied twice a day on the psoriatic lesions...on trunk and extremities - But, please avoid the use of betnovate on psoriatic lesions on foreskin and soft tissue areas..as it is a moderately strong steroid. You may apply mild steroid cream like mometasone. - Soap bath should be avoided. - All precautions may be taken to avoid dryness of skin. Winter might worsen due to dry weather. So, take care. After few months,you may be alright. But, maintenance therapy may be continued. And if there is relapse, you may restart the treatment. Have patience... Thanks. Dr. Ilyas Patel MD